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커뮤니티케어 기반의 방문노인구강관리 중재 프로그램 개발을 위한 기초연구

Preliminary study for the development of a visiting oral health care intervention program for the elderly based on community healthcare

대한구강보건학회지 2020년 44권 3호 p.166 ~ 172
장종화, 조자원, 김여주, 기지윤, 조경숙, 김지량, 박정은, 김다희,
소속 상세정보
장종화 ( Jang Jong-Hwa ) - Dankook University College of Health Science Department of Dental Hygiene
조자원 ( Cho Ja-Won ) - Dankook University College of Dentistry Department of Preventive Dentistry
김여주 ( Kim Yeo-Ju ) - Dankook University Graduate School of Public Health and Social Welfare Department of Oral Health
기지윤 ( Ki Ji-Yun ) - Dankook University Graduate School Department of Public Health
조경숙 ( Jo Kyung-Sook ) - Dankook University Graduate School Department of Public Health
김지량 ( Kim Ji-Ryang ) - Dankook University Graduate School Department of Public Health
박정은 ( Park Jung-Eun ) - Dankook University College of Health Science Department of Dental Hygiene
김다희 ( Kim Da-Hui ) - Dankook University College of Health Science Department of Dental Hygiene

Abstract


Objectives: We evaluated the level of oral health status and oral health behavior in the elderly prior to their participation in a visiting oral health care intervention program as part of a community healthcare project in Cheonan city, South Korea.

Methods: The oral hygiene conditions, oral health behaviors, and oral senility of 64 elderly people subject to community care were measured during the period January 1 to February 15, 2020 using dental health surveys and questionnaire-based interviews conducted in line with World Health Organization standard criteria.

Results: The systematic disease retention rate of the elderly in this study was 90.6%, followed by hypertention (70.7%), and diabetes (51.7%). Scores were 1.69 out of 5 for subjective health evaluation, 1.8 out of 5 for subjective awareness of oral health, and the number of natural teeth was 14.9 per person (average mean for elderly people 18.38-19.34). During the day, 94.9% practiced brushing, after dinner 58.9%, and before bedtime 26.8%, which shows a diminished rate of practice. The percentage of participants dissatisfied with dental treatment was high at 67.2%, and the six measures of oral sensitivity, masticatory discomfort, pronunciation discomfort, and tongue pressure, presented less than average scores.

Conclusions: The level of oral health and oral health behavior of the elderly prior to the visiting oral health care community intervention program, was very poor. Therefore, the results of this study suggest that there is a need to develop a more systematic and thorough strategy to activate visiting community oral health care intervention programs.

키워드

Community healthcare; Dental care for aged; Dental health surveys; Dental plaque index; Oral hygiene

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